Clinical Pathways - Kustom Kinetics Medical Products · PDF fileThe Clinical Pathways Orthotic Selection Guide ... leverage brace component at the apex of ... and applys a gentle stretch

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Ongoing Care Solutions, Inc.

AirPro™SoftPro™

DynaPro™

“The next generation of NeuroFlex® Technology”

800/375-0207 www.OngoingCare.com

OrthoPro™

Clinical Pathways

Static Orthotics

Designed to support, protect, and correctly position the joint(s) being treated and provide maintenance therapy, preserving existing passive range of motion with routine use.

Maintenance orthotic therapy is appropriate when therapeutic stretching is contraindicated due to pain or risk of injury (Rheumatoid Arthritis, RSD, severe osteoporosis, etc.). Static orthotics can also effectively provide PROGRESSIVE EXTENSION ORTHOTIC THERAPY by setting the device 5° to 8° ahead of comfortable end range stretch.

OCSI offers STATIC bracing with the SoftPro™ line of orthotics.

Air Bladder Orthotics

Designed with strategically placed air bladders to provide gentle Low Load Prolonged Stretch (LLPS) on shortened tissue to reverse Lost Range of Motion (LROM). LLPS is effective orthotic therapy to reverse tissue shortening contractures. Air bladder inflation stretching is effective in gently reversing tissue shortening, even for severely contracted joints as the bladder(s) will conform to the angle of the joint.

OCSI offers AIR BLADDER bracing with the AirPro™ line of orthotics.

Static/Flex Neuro-Dynamic Orthotics

Fabricated from bio-engineered flexible components that “flex” into the lost range of motion to provide Low Load Prolonged Stretch dynamic therapy. The “flex” characteristics of the devices will “give” or reduce tension on the stretched joint during episodes of abnormal tone uniquely appropriate for managing spasticity.

DynaPro Orthotics are “The Next Generation of Neuroflex Technology” providing abnormal reflex arc therapy to effectively manage abnormal tone and spasticity.

OCSI offers STATIC/FLEX bracing with the DynaPro™ line of orthotics.

Orthotics for Specific Orthopedic Conditions Designed components intended to effectively treat specific orthopedic conditions. Range of Motion Elbow and Knee Orthotics, ambulating knee braces, night splints for treating plantar fasciitis, and spinal supports are included in the product line.

OCSI offers ORTHOPEDIC bracing with the OrthoPro™ line of orthotics.

Clinical Pathways Orthotic Selection Guide

OCSI offers a wide selection of orthotic types and designs. The Clinical Pathways Orthotic Selection Guide is intended to facilitate

brace selection based upon: 1.) the orthotic therapy provided by brace type and design, 2.) the clinical pathology of the joint(s) being treated, and 3.) the rehabilitation goal for treatment.

Orthotic Fitting The Palpation Method of Orthotic Fitting should be utilized when using Progressive Extension, Low Load Prolonged Stretch, or Neuro-

Inhibiting orthotic therapy to ensure a good fit. Palpate the crease in the affected joint immediately after fitting the brace. The tissue

should feel taut due to the therapeutic stretch being applied by the device. If the tissue is not taut, the device should be re-set to initiate

a gentle stretch. There should never be significant discomfort or pain associated with orthotic device stretching. Immediately remove

the brace and re-set the orthotic to reduce the stretch applied by the device if pain or significant discomfort occurs.

Always re-palpate the treated joint several minutes after device application (10 – 15 minutes). An optimal fit will display significant

softening in the joint crease when re-checked. If softening has occurred and the patient reports comfort, the fit is good. If there is no

softening, the device should be re-set to provide a more gentle stretch.

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Terms:Adaptive Tissue Shortening: connective tissue, tendons, and muscles adapt to disuse over time by shortening and becoming less elastic which limits movement of the joint (contracture).

End Feel: the assessment of the relative viscoelastic quality of connective tissue, tendons, and muscle perceived by the practitioner at the very end of the available range of motion of a joint.

Tone: common term for “hypertonicity” which is an involuntary increase in tendon reflexes including an oversensitivity and opposition to therapeutic stretching.

ROM: an acronym for Range of Motion exercise of the joint.

Spasticity: exaggerated deep tendon reflexes or muscle spasms usually due to an upper motor neuron (brain) lesion.

Progressive Extension: a type of orthotic therapy where a brace is set to apply a gentle stretch beyond the end range of shortened tissue. The brace is “progressively” modified to maintain stretch and incrementally lengthen shortened tissue.

Neuro-Inhibiting Tension: therapeutic muscle tension applied by a brace that is below the stretch reflex threshold which can initiate muscle inhibition and provide relaxed therapeutic stretch.

Negative Non-Linear Dynamic Tension: dynamic stretch below the stretch reflex threshold which is applied by the brace to the affected joint which gives or reduces tension applied by the brace with a dynamic muscle contraction.

Three Point Leverage: leverage points at the proximal and distal ends of a brace in one direction (i.e., down) with an adjustable leverage brace component at the apex of the joint in the opposite direction (up) to exert a therapeutic stretch of the joint (i.e., reverse elbow flexion).

RA: Rheumatoid Arthritis

RSD: Reflex Sympathetic Distrophy

Orthotic Selection Guide

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ORTHOTIC SELECTION/THERAPY

SoftPro™ Orthotics Static Fit for support

and positioning

OrthoPro™ Knee & ElbowSupport the joint during

movement

SoftPro™ Orthotics Static Fit for support

and positioning

SoftPro™ Orthotics Progressive Extension

Therapy

AirPro™ Orthotics Air Inflation Stretching

Gentle Low Load Prolonged Stretch

DynaPro™ Orthotics Dynamic Flex Therapy

Dynamic Low Load Prolonged Stretch

DynaPro™ Orthotics Neuro-inhibiting Tension

Negative non-linear dynamic tension

FITTING GUIDELINES

Full contact fit atcomfortable end range

Set hinge to limitmotion to tolerance

Comfortable end range

Set device 5° - 8° aheadUse strapping for

3 pt. leverage*

Fill air bladder(s) to provide gentle stretch;

palpate joint to assess fit

Set device 5° - 15° ahead to provide optimal

Low Load Prolonged Stretch

Set device 5° - 15° ahead to inhibit joint(s) and

provide LLPS

THERAPY GOAL

Support/Protect/Position

Control motion of jointLimit/control motion of joint

Maintain Range of MotionMaximize comfort and skin

protection

Conservative Stretch TherapyRestore Range of Motion

Air Low Load Prolonged StretchRestore Range of Motion

Dynamic Low Load Prolonged Stretch

Restore Range of Motion

Manage hypertonicity/spasticityProvide stretch on relaxed tissue

CLINICAL CONDITION/PROBLEM

RA-pain, inflammation, deformityRSD– pain w/ movement

or stretch

Post injury/surgery pain w/movement

Tissue shortening – 0/mild tone

poor end feel poor skin integrity

Tissue shortening – 0/mild tonefair end feel

Tissue shortening – 0/to mild tone

fair to good end feel

Tissue shortening – mild to severe tone

fair to good end feel

Neurological hypertonicity – spasticity

Neuro-contracture management

Clinical Pathways Orthotic Decision TreeUpper Extremity

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Neuro-rehab w/stretch

DynaPro™ Resting

DynaPro™ Finger Flex

DynaPro™ Flex Hand


DynaPro™ Resting/Finger Flex



DynaPro™ Resting Molded

DynaPro™ Finger Flex Molded


Ulnar Drift Strap

SoftPro™ Dorsal Resting

DynaPro™ Elbow

DynaPro™ Hyper X Flex Elbow

Support/PositionControl Motion

SoftPro™ Champ

SoftPro™ Functional Resting


SoftPro™ Grip

SoftPro™ Champ


SoftPro™ Palmar Resting

SoftPro™ Champ


SoftPro™ Grip

Ulnar Drift Strap


SoftPro™ Static/Gel Elbow

OrthoPro™ ROM Elbow w/ Movement

SoftPro™ Hyper X Static Gel Elbow

Maintain Range of Motion

Conservative Stretching

SoftPro™ Champ



SoftPro™ GripAirPro™ Graduate

SoftPro™ Champ


SoftPro™ Palmar Resting

SoftPro™ Champ


SoftPro™ Grip

Ulnar Drift Strap


SoftPro™ Static/Gel Elbow

SoftPro™ Hyper X Static Gel Elbow

UPPER EXTREMITY

Wrist Flexion w/ Fingers Mild - Moderate

Mild (<20˚)

Moderate (25˚-55˚)

Severe (>60˚)

Wrist Flexion w/ Fingers Severe (>60˚)

Fingers Severe (>60˚)

Thumb Adduction

Mild (25% ROM loss)

Moderate (30-50% ROM loss)

Severe (>50% ROM loss)

Ulnar Drift

Hand

Fingers

Wrist - Hyperextension

Hyperextension /supination

Elbow

Flexion

Hyperextension


Control Motion

DynaPro™ Resting

DynaPro™ Finger Flex


AirPro™ GraduateDynaPro™ Flex Hand




DynaPro™ Resting Molded

DynaPro™ Finger Flex Molded


Ulnar Drift Strap


DynaPro™ Elbow

OrthoPro™ ROM Elbow w/ Movement

DynaPro™ Hyper X Flex Elbow

SoftPro™ WHFO’sStatic Therapy – Support, Protect and Position Progressive Extension Stretch Therapy

SoftPro™ Grip • Treats moderate to severe contractures of the

wrist/hand/fingers • Palmar bar comfortably fits into the palm of a fisted hand• Two incrementally larger palmar rolls included to gradually

increase extension of the MCP and PIP jointsSP 31FG S,M,L (Left or Right) HCPCS L3807

• Easily molded without tools yet sturdy enough to maintain

shape during wear

• Bacti-Ban™ keeps covers cleaner and more odor resistant than competitive braces• Color Coded Straps

facilitates brace application

• Finger Separators and Ulnar Drift Strap available separately to allow custom fitting

• Easily adjustable for ulnar and/or radial deviation

• Extra cover included with every SoftPro wrist/ hand/finger orthosis

“Bend to Fit ”

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SoftPro™ Palmar Resting Hand• Severely adducted thumb rests on finger platform• Thumb can be positioned under the finger platform as second

step in abducting the thumb• Large finger platform provides a comfortable “pan” to support

and protect the hand and fingersSP 31FPR S,M,L (Left or Right) HCPCS L3807

SoftPro™ Dorsal Resting Hand• Effectively positions the wrist in neutral, especially when the

wrist tends to pronate• Provides three point leverage to increase dorsal extension

of the wrist • Thumb is “Bend to Fit” to support, position, and/or correct

alignment of the thumbSP 31FDR S,M,L (Left or Right) HCPCS L3807

SoftPro™ Functional Resting Hand • Treats moderate contractures of the wrist/hand/fingers.• Extra long wrist strap holds the wrist in the proper position

and applys a gentle stretch.• Thumb is “Bend to Fit” to support, position, and/or correct

alignment of the thumb.SP 31FFR S,M,L (Left or Right) HCPCS L3807

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SoftPro™ Champ™ Resting Hand• Treats mild to moderate contractures of the wrist/hand/fingers• Maintains/supports the wrist/hand/fingers in functional alignment• Unique strapping system provides optimal support • Comfortably positions the wrist/hand/fingers in functional alignment• Thumb is “Bend to Fit” to support, position, and/or correct alignment of the thumb

SP 31CHA XS, S,M,L (Left or Right) HCPCS L3807

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Finger Accessories

Finger Separator• Provides finger separation and mild abduction • Protects finger skin integritySP FS-S

Ulnar Drift Strap• Holds fingers in comfortable, neutral position• Enhances gentle three point leverage over the PIP jointsSP FS-U

Air Therapy – Low Load Prolonged Stretch

AirPro™ Air Graduate WHFO• Conforms to the shape of the hand accommodating

different degrees of finger contracture• Ideal for severely contracted fingers• Removable cone shaped palmar air bladder can be used

independently of wrist support

AP 31AG One Size HCPCS L3807

• Easily adjustable

“Bend to Fit ”

• Bacti-Ban™ keeps covers cleaner and more odor resistant than competitive braces

• Color Coded Straps facilitates brace application

• Extra cover included

AirPro™ Air Graduate Hand Orthosis• Ideal for severely contracted fingers only when no wrist

support is needed

AP 31AGHO One Size

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AirPro™ Air Graduate WHFO

DynaPro™ Resting Hand (Thumb Ease) • Resting hand design with rigid finger platform• Thumb pocket with two gel inserts treats thumb abduction• Flexible wrist minimizes spastic episodes• Maintains functional hand alignmentDP WR20737 S,M,L (Left or Right) HCPCS L3807

DynaPro™ Finger Flex• Resting hand design with flexible finger platform• Flexible wrist, MCP, and PIP joints• Thumb pocket with two gel inserts treats thumb abduction• Finger separators includedDP WFF S,M,L (Left or Right) HCPCS L3807

Static/Flex Neuro-Dynamic Therapy


• Color Coded Straps facilitates brace application

• Extra cover included with every DynaPro™ wrist/hand/finger orthosis

• Heat moldable/adjustable

DynaPro™ Flex Hand • Reverses moderate/severe flexion and/or spasticity of wrist/hand/fingers • Two incrementally larger palmar rolls included to gradually increase

extension of the MCP and PIP joints• Provides gentle ulnar drift correctionDP WF20721 One Size (Left or Right) HCPCS L3807

• Uniquely designed for treatment of spasticity

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DynaPro™ WHFO’s

AirPro™ Elbow Air Accessory KitThe AirPro™ Air Elbow Kit is an addition to or accessory compo-nent to our existing OCSI elbow braces. The AirPro™ Elbow Air Kit can be attached to a SoftPro™ Static Gel Elbow or an OrthoPro™ ROM Elbow when the addition of an air bladder is desired to facilitate enhanced Low Load Prolonged Stretch orthotic therapy.

AP EAK

SoftPro™ Static Gel ElbowStatic Therapy – Support, Protect and PositionProgressive Extension Stretch Therapy• Easily adjustable single setting hinge • Provides 3 point progressive extension stretchSP 503 S,M,L HCPCS L3760

Elbow Orthotics...


• New fabric reduces shear/friction

• Proprietary gel pad-ding in cuff

OrthoPro™ ROM ElbowRange of Motion Therapy• ROM hinge provides controlled Range of Motion therapy• ROM hinge easily modified without removing brace

OP 500 S,M,L HCPCS L3760

• Gel elbow pad included

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• Elbow cuff extenders available

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Optional ROM Exercisers available

Hyper X Gel Hyper-Extension Control Pad • Can be used with SoftPro™ Static Gel or DynaPro™ Flex Elbow• Effectively treats hyperextension with 3 point leverage stretching

DP HX-ECO PAD

DynaPro™ Flex Elbow Static/Flex Neuro-Dynamic Therapy • Treats mild/moderate flexion• Abnormal reflex arc therapy provided by the device assists

in neuro-rehabilitation• Axial hinge with legible goniometer facilitates brace fitting

DP FE20724 S,M,L HCPCS L3760

OrthoPro™ Shoulder Orthosis • Provides stabilizing support and protected motion of the

shoulder while simultaneously providing humeral support.

• Joint rotation can be controlled with an adjustable elastic strapping system.

• The OrthoPro™ Shoulder Orthosis is indicated for: Shoulder subluxation / dislocation, Post-arthroscopic surgery, Humeral fracture, Hemiperesis, Mild instabilities of the shoulder, Nerve Palsy, Inflammation and pain in the shoulder (post traumatic or postoperative)

OP 600 S,M,L

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• Supports and corrects shoulder, elbow, wrist and hand positioning

• Positions/maintains functional upper extremity alignment

• Easily attaches to any wheelchair arm rest

OP 700 HCPCS L3964

OrthoPro™ SEWHO

Clinical Pathways Orthotic Decision TreeLower Extremity

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Dec

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Ext

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Neuro-rehab w/stretch

DynaPro™ Flex Knee

DynaPro™ Hyper X Flex Knee

DynaPro™ ROM Knee

OrthoPro™ Stabilizer Knee

SoftPro™ Gel HKO

SoftPro™ Gel HKO

Air Starter Kit w/HKO

DynaPro™AFO

SoftPro™ Gait Trainer AFO

SoftPro™ Ambulating AFO

DynaPro Elite

Support/PositionControl Motion

SoftPro™ Static/Gel Knee

SoftPro™ Hyper X Static Gel Knee


OrthoPro™ OA Knee

OrthoPro™ POP Knee

SoftPro™ Gel HKO

SoftPro™ Gel HKO


SoftPro™ Hip combined w/

Softpro™ Static Gel KO

OrthoPro™ ROM Knee

SoftPro™ In-Bed AFO



DynaPro™ Elite

Maintain Range of Motion

Conservative Stretching

SoftPro™ Static/Gel Knee

SoftPro™ Hyper X Static Gel Knee


DynaPro™ ROM Knee


SoftPro™ Gel HKO

SoftPro™ Gel HKO



Softpro™ Static Gel KO





LOWER EXTREMITY

KNEE

Non-Ambulatory

Flexion

Hyperextension

Weight Bearing

Ambulation Support

Stabilization

Pain Relief

Joint Stabilization

HIP

Hip Adduction

Mild

Moderate

Severe ≤ 20°

HIP/THIGH/KNEE

Combined Hip Abduction

w/knee flexion (non-weight bearing)

w/knee flexion (weight bearing)

ANKLE/FOOT

Non-Ambulatory

Plantarflexion

Weight Bearing/Transfer

Plantarflexion/ Inversion/Eversion

Assisted Ambulation

Plantarflexion

Ambulatory

Foot Drop


Control Motion

AirPro™ COKO ROM Knee

DynaPro™ Flex Knee

DynaPro™ COKODynamic Knee

DynaPro™ Hyper X Flex Knee

DynaPro™ ROM Knee



SoftPro™ Gel HKO

SoftPro™ Gel HKO







Knee Orthotics...

SoftPro™ Static Gel KneeStatic Therapy – Support, Protect and PositionProgressive Extension Stretch Therapy• Non-ambulatory knee brace reverses tissue shortening• Easily adjustable single setting hinge • GEL KNEE PAD included provides 3-point leverageSP 406 S,M,L HCPCS L1831


• New fabric reduces shear/friction

• Proprietary gel padding in cuff

OrthoPro™ ROM Knee Weight Bearing/Assisted Ambulation• ROM hinge provides controlled Range of Motion therapy• ROM hinge easily modified without removing brace• Optional GEL KNEE PAD availableOP 400 S,M,L HCPCS L1832

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• Knee cuff extenders available

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Gel Knee Pad Provides 3-point leverage

SP 4017

OrthoPro™ Stabilizer Knee Ambulation Support• Breathable neoprene with front wrap closure• ROM hinge allows range of motion from 0°–105° of flexion• Ability to be set for controlling hyperextension• Bilateral supports provide medial/lateral stability and protection OP 404 S,M,L,XL,XXL HCPCS L1832

OrthoPro™ SPORT RehabilitatorAccelerate Knee Recovery• Adjustable air bladder system for superior knee support• Facilitates quadriceps firing to strengthen quads• Accelerates leg rehabilitation while protecting knee• Ideal for treating chronic knee painOP 407 XS, S, M, L, XL, XXL – (Left or Right)HCPCS L1845

OrthoPro™ HyperEx™ KneeGenu Recurvatum Control• Adjustable air bladder incorporated behind hyperextension control strap significantly improves comfort and enhances gait• Lightweight• Easy to apply• Conforms to leg anatomy•

OrthoPro™ OA-LP RehabilitatorDelay OA Progression• Unique air bladder system to unload

knee joint• Corrects abnormal OA gait• Strengthens quadriceps muscles

over time• Designed to delay OA progression

with routine use

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Won’t migrateOP 403 S, M, L, XL – (Left or Right) HCPCS L1850

OP 401LP XS, S, M, L, XL, XXL – (Left or Right) (Varus or Valgus)HCPCS L1845

AirPro™ COKO ROM Knee • Gently reverses tissue shortening• Air bladder therapy for severe contracture treatment • Removeable Range of Motion hinge control maintains brace settingsAP 403 S,M,L HCPCS L1847

Max-Air Third Bladder • Provides greater Low Load Prolonged Stretch AP 4035

DynaPro™ Flex Knee Static Flex Neuro-Dynamic Therapy• Treats mild/moderate flexion contractures• Provides dynamic low load prolonged stretch• Patented negative non-linear “flex” properties accommodates

involuntary muscle contractions• GEL KNEE PAD included DP FK20725 S,M,L HCPCS L1831

DynaPro™ ROM KneeWeight Bearing• Treats mild/moderate flexion contractures• ROM flexion and extension stop setting hinges• Unique multi-functional brace provides static, ROM, Low Load Prolonged Stretch, and Anti-Spasticity therapy all in one • GEL KNEE PAD included DP RK S,M,L HCPCS L1832

Hyper X Gel Hyper-Extension Control Pad • Can be used with SoftPro™ Static Gel or DynaPro™ Flex Knee• Effectively treats hyperextension with 3 point leverage stretching

• Effectively manages abnormal extensor tone and spasticity in non-ambulatory patients when used with DynaPro™ Flex Knee

DP-HX-KCO

COKO Accessories

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AirPro™ COKO Dynamic Knee • Air bladder therapy for severe contracture treatment• Flexible side bars provide optimal low load prolonged stretch• DynaPro™ side bars for dynamic low load prolonged stretch to reverse adaptive

tissue shortening or neuro-rehabilitation.• Effective for reversing contractures from severe flexion to weight bearing.AP 4021 S,M,L HCPCS L1847

Gel Knee Pad Included

Gel Knee Pad Included

SoftPro™ In-Bed AFO• Effectively treats plantar flexion• Non-skid bottom for assisted transfers• SoftPro™ Short Back In-Bed AFO available in all sizes• Available smooth or fleeceSP 10 S,M,L,XL HCPCS L4396

SoftPro™ AFOs Static Therapy – Support, Protect and Position Progressive Extension Stretch Therapy

Ankle / Foot Orthotics...A

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• Anti Rotation Bar

• Suspended heel

Also available inBariatric Size

Available only with fleece liner

SP 10-07

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SoftPro™ Ambulating™ AFO • Effectively treats plantar flexion• Non-removable ClickStep™ Transfer Pad• Patented ClickStep™ Transfer Pad provides audible

cue with heel strike• Rocker bottom design facilitates initial weight bearing

and assisted gait training• Available smooth or fleece• Adjustable Toe PostSP 20 S,M,L,XL HCPCS L4396

SoftPro™ Gait Trainer™ AFO• Effectively treats plantar flexion, inversion, and eversion• Removable ClickStep™ Transfer Pad• Patented ClickStep™ Transfer Pad provides audible cue with heel strike• Rocker bottom design facilitates initial weight bearing and assisted

gait training• Available smooth or fleece• Adjustable Toe PostSP 30 S,M,L,XL HCPCS L4396

AFO Spreader Bar• Available for use with SoftPro™ Gait Trainer™ AFO onlySP 2075SB Suggested Code L2310

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SoftPro™ InBed AFO with Gel• Gel insert reduces pressure on planter aspect of foot• Treats plantar flexion• Adjustable dorsiflexion straps provide optimal stretch•

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Non skid bottom

SP 106 S,M,L,XL HCPCS L4396

DynoPro™ Elite AFO


• Provides correction of foot drop• Design facilitates a more natural gait• Appropriate for mild to moderate spasticity• Improves gait speed and efficiency DPCF XS, S, M, L, XL

HCPCS L1932

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DynaPro™ AFOs• Dynamic Low Load Prolonged Stretch • Neuro-Inhibiting Dynamic Stretch

DynaPro™ AFO • Effectively reverses ankle/foot contractures

• Elastic pull straps effectively treat plantarflexion, inversion, or eversion

• Non-skid bottom for assisted transfersDP AFO S, M, L HCPCS L4396

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A DynaPro™ Elite™ AFO Soft Pad Kit for the tibial shell is recommended for use with the DynaPro™ Elite™ AFO. The Soft Pad Kit will enhance comfort and provide pressure relief with device use. The AFO Soft Pad Kit is not included with the DynaPro™ Elite™ AFO and must be ordered separately.

AFO Soft Pad Kit

Hip Abduction Orthotics...SoftPro™ Gel HKOStatic Therapy – Support, Protect and PositionProgressive Extension Stretch Therapy• Adjustable bar effectively treats adduction• Allows abduction up to 45°• Bed and/or wheelchair useSP 600 Standard and Large HCPCS L1652

SoftPro™ Air Bladder Starter Kit

Air Therapy – Low Load Prolonged Stretch• Available for severe adductionSP 6003

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OrthoPro™ Stretch Night Splint• Adjustable dorsiflexion straps provide optimal stretch• Non-skid bottom for increased safety• Toe wedge includedOP 800-4 SOP 800-5 MOP 800-6 L

OrthoPro™ Passive Night Splint• Comfortable nighttime solution for plantar fasciitis• Provides passive stretching of plantar fascia, calf muscles,

Achilles tendon• Non-skid bottom for increased safety• Pre-set with 5° of dorsiflexion• Toe wedge includedOP 800-0 SOP 800-1 MOP 800-2 L

OrthoPro™ Dorsal Night Splint• Gently stretches the plantar fascia, calf muscles and Achilles tendon to help relieve pain• Easier to wear because splint is: Cooler, Lightweight

and ComfortableOP 810-1 (Regular)OP 810-2 (Large)

Spinal Support Therapy

OrthoPro™ LSO• Light weight LSO design• Revolutionary Air-Lite™ liner effectively disperses pressure• Anatomically correct design provides 360° support providing

anterior, posterior, and lateral control of the lower spine• Indicated for Stenosis, compression fractures, Discogenic disease,

Lordosis, Osteoporosis, Osteoarthritis, Spondylolisthesis, pre-op and post op support, and prolapse of the disc.

OP 64 S,M,L,XL,2XL,3XL HCPCS L0639

Optional low profile front OP 63AK

OrthoPro™ Soft LSO• Unique “Bend to Fit” design assures optimal fit, comfort, and

therapeutic function• Specifically designed for very easy application and removal• Can be used under or over clothing• Indicated for displacement of lumbar disc, lumbar/sacral instability

or inflammation, spondylosis, and degeneration lumbar/sacral discOP 62 S,M,L HCPCS L0627

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OrthoPro™ Soft TLSO• Soft, lightweight, yet very supportive• Provides thoracic, lumbar, sacral support• Easy to apply and remove• Breathable soft cover; cool and comfortableOP 61 TLSO – Full Short, Full Tall, Reg Short, Reg Tall

HCPCS L0454

Spinal Supports...

DynaPro™ Torticollis Orthosis• Treats lateral flexion of the head and neck• “Bend to Fit” shoulder cuff allows easy molding to patient comfort•

HCPCS L0113

Semi-rigid upright with “flex” technology is heat moldable for proper fitDP TO Adult, Youth and Child (right and left)

Provides Sacral to thoracic Support Addition

DynaPro™ Posterior Thoracic Extension• Indicated for curvature of the thoracic spine, trunk weakness, and/or

forward positioning of the shoulders• Gel padded shoulder straps comfortably leverage the thoracic spine

into a more functionally correct alignment.DP LSO-PTE One size-adjustable HCPCS L9900

DynaPro™ Cervical Hyperextension Control Addition • Encourages inhibition of hyperextension movement disorders and provides a gentle

stretch to correct hyperextension contractures of the neck.• Can only be used while seated or ambulatoryDP LSO-HC One size-adjustable HCPCS L0999

DynaPro™ Lateral / Forward Cervical Flexion Addition • Provides gentle dynamic therapy to correct Torticollis, lateral contractures of the neck or, to con-

trol lateral spasticity of the neck• Accommodates abnormal tone and spasticity to assist in managing lateral flexor tone of the neck. • Gel padded head piece and cervical extension post provide pressure protection for the dynamic

properties of the brace.• Can only be used while seated or ambulatory.DP LSO-LC One size-adjustable left & right HCPCS L0999

DynaPro™ Forward Cervical Flexion Addition to LSO/TLSO• Provides gentle dynamic stretch to correct forward flexion of the neck• Accommodates abnormal tone and spasticity to assist in managing forward flexor

tone of the neck. • Gel padded head piece and cervical extension post provide pressure protection

for the dynamic properties of the brace • Can only be used while seated or ambulatory.DP LSO-FC One size-adjustable HCPCS L0999

OrthoPro™ LSO Additions

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DynaPro™ Pediatric Flex KneeDP FK20725-C (Child)DP FK20725-Y (Youth)

SoftPro™ Pediatric Static ElbowSP 503-4 (Child)SP 503-5 (Youth)

DynaPro™ Pediatric Flex ElbowDP FE20724-C (Child)DP FE20724-Y (Youth)

SoftPro™ Pediatric Static KneeSP 406-4 (Child)SP 406-5 (Youth)

Pediatric Orthotics

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Ped

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DynaPro™ Pediatric Finger Flex WHFODP FWFF-24-C (Child)DP FWFF-24-Y (Youth)

SoftPro™ Pediatric Functional Resting WHFOSP 31FFR-C L/R (Child)SP 31FFR-Y L/R (Youth)

SoftPro™ Pediatric Grip WHFOSP 31FG-C L/R (Child)SP 31FG-Y L/R (Youth)

SoftPro™ Pediatric In-Bed AFOSP 10-04 (Child/Fleece)SP 10-05 (Youth/Fleece)SP 10-54 (Child/Smooth)SP 10-55 (Youth/Smooth)

“Bend to Fit ”

“Bend to Fit ”

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SoftPro™ & DynaPro™ WHFO

SizeWidth of MP Joints

Length of Wrist to Finger Tip

X Small(Champ Only)

SmallMedium

Large

Up to 2 1/2”2 1/2”– 3”3”– 3 1/2”3 1/2”– 4”

Up to 5”5”– 6”

6 1/2”– 8”8”– 9 1/2”

DynaPro™ ECO

SizeUpper Arm

CircumferenceUpper Arm

Circumference

SmallMedium

Large

8”– 10”9”– 11 1/2”11”– 14”

5”– 8”7 1/2”– 10”9”– 12”

SoftPro™ Static & OrthoPro™ ROM ECO’s

SizeUpper Arm

CircumferenceLower Arm

Circumference

SmallMedium

LargeX Large

8”– 10”10”– 12”12”– 14”

13.5”– 17”

7”– 9”9”– 11” 11”– 13” 12”– 14”

AirPro™ COKO’s

SizeThigh

CircumferenceCalf

Circumference

SmallMedium

Large

12”– 15”15”– 18”18”– 22”

8”– 11” 12”– 15”15”– 19”


Size Thigh Circumference

SmallMedium

LargeX Large

XX Large

13”– 16”16”– 19”19”– 22”22”– 25”25”–28”

SoftPro™ Static & OrthoPro™ ROM KCO’s

SizeThigh

CircumferenceCalf

Circumference

SmallMedium

LargeX Large

12”– 15”15”– 19”19”– 21”21”– 25”

7”– 10”10”– 13”13”– 16” 16”– 19”

SoftPro™ & DynaPro™ AFO’s

Size Length of FootMax. Calf

Circumference

SmallMedium

LargeX Large

6”– 8”8”– 10”10”– 11”11”–12”

15”17”19”23”

SoftPro™ Bariatric In-Bed AFO

Size Calf Circumference

1 Size 21”– 32”

DynaPro™ KCO’s

SizeThigh

CircumferenceCalf

Circumference

SmallMedium

Large

11”– 15”15”– 19”19”– 21”

10”– 13” 12”– 15”14”– 18”

OrthoPro™ Passive & Stretch Night Splints

SizeLady’s

Shoe SizeMen’s

Shoe Size

SmallMedium

Large

4 – 7 1/28 – 1010 1/2 +

4 – 5 1/26 – 9 1/210 – 12

Sizing Charts

OrthoPro™ HyperEx

Size

SmallMedium

Large

Thigh Circumference(4 ½” above mid patella)

10”– 14”14”– 20”20”– 27”


Size Foot PlateLength

OverallHeight

LateralMalleoulus

Height

14”15”16”17”17”

2.5”2.5”3”

3.5”3.5”>

8”9”10”11”12”

X SmallSmall

MediumLarge

X Large

OrthroPro™ OA-LPSize

X-SmallSmall

MediumLarge

X-LargeXX-Large

13” - 16”16” - 19”19” - 22”21” - 25”24” - 28”27” - 32”

4” Below Mid Patella6” Above Mid Patella9” - 12”12” - 15”14” - 17”16” - 20”19” - 23”22” - 26”

OrthroPro™ SportSize

X-SmallSmall

MediumLarge

X-LargeXX-Large

13” - 16”16” - 19”19” - 22”22” - 25”25” - 28”28” - 32”

4” Below Mid Patella4 1/2” Above Mid Patella9” - 12”12” - 15”15” - 17”17” - 20”20” - 23”23” - 26”

Size Forehead to Shoulder Height

AdultYouthChild

6”– 9”5”– 6”3”– 5”

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SoftPro™ Pediatric Functional Resting WHFO


Length

ChildYouth

1 3/4” – 2”1 3/4” – 2 1/2”

8”9”

DynaPro™ Pediatric Finger Flex WHFO


Length

ChildYouth

1 3/4” – 2”1 3/4” – 2 1/2”

8 1/4”10 1/4”

SoftPro™ Pediatric Grip WHFO


Length

ChildYouth

2” – 2 1/2”2 1/2 ” – 3”

7”8”

OrthoPro™ Dorsal Night Splint

SizeLady’s

Shoe SizeMen’s

Shoe Size

RegularLarge

5 – 9 1/210 – 16

5 – 1010 1/2 – 16

OrthoPro™ Soft TLSO

SizeChest/

Waist/HipCircumference

FrontHeight

BackHeight

Reg/Short

Reg/Tall

Full/Short

Full/Tall

30” – 36”

30” – 36”

37” – 42”

37” – 42”

8” – 10”

11” 13”

8” – 10”

11” 13”

13” – 15”

16” – 18”

13” – 15”

16” – 18”

SoftPro™ Pediatric In-Bed AFO

Size Length of FootFoot Calf

Circumference

ChildYouth

3 1/2” – 5”5” – 6”

11” – 13”13” – 15”

OrthoPro™ LSO

Size Hip Circumference

SmallMedium

LargeX Large

XX LargeXXX Large

27”– 33”33”– 38”38”– 42”42”– 49”49”–58”

58”+

SoftPro™ Gel HKO

Circumference of Leg 4” above Knee

StandardLarge

12”– 18”19”– 27”

OrthoPro™ Shoulder Orthosis

SizeCircumference at widest

point of upper arm

SmallMedium

Large

11”or less11 1/2”– 14 1/2”15”or greater

OrthoPro™ Soft LSO

Size Midriff Circumference

SmallMedium

Large

28”– 33”34”– 40 1/2”

41”– 48”

SoftPro™ Pediatric Static Elbow &DynaPro™ Pediatric Flex Elbow

SizeMid-Bicep

CircumferenceLength

childYouth

5” – 7”7” – 10”

8 1/2”9 1/2”

SoftPro™ Pediatric Static Knee &DynaPro™ Pediatric Flex Knee

SizeMid-Thigh

CircumferenceLength

10” – 12”12” – 14”

10”12 1/2”

Pediatric Sizing Charts

ChildYouth

DynaPro™ Torticollis

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To Place An Order...Phone: 727-526-0707 800-375-0207Fax: 727-525-1424 727-526-0108

Hours: 9:00 am to 5:00 pm Monday - Friday ESTMinimum OrdersThere is NO minimum order required.

Payment MethodsWe accept checks, money orders and credit cards(Visa, MasterCard and American Express).

Shipping and DeliveryAll shipping charges are the responsibility of the purchaser and will be added to your invoice.

Orders received after 4:00 pm Eastern Time will be shipped the following day. Special Orders will be shipped 24 to 48 hours after receipt of order.

All orders are shipped commercial ground carrier unless you specifically request Next Day Air, Second Day Air, or Third Day Delivery.

Returns100% satisfaction guaranteed!

To make a return or exchange, please call our Customer Service Department for a Return Goods Authorization (RGA) Number. A restocking fee of fifteen percent (15%) will be charged. Product must be unused in the original package, currently manufactured, and returned within 90 days.If you received merchandise as a result of an error or the product is defective, please call Customer Service immediately. We will issue a call-tag to pick up the product. There will be no re-stocking fee charged.

Product WarrantyOngoing Care Solutions / neuroflex, offers a one (1) year warranty against manufacturing defects for the metal and/or plastic portion of the product. If any modifications are made to any splint, it immediately voids all manufactur-ing warranties. No exceptions. Soft goods are guaranteed for six (6) months. Once deemed defective, we reserve the right to repair or replace the prod-uct at our discretion.

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The NeuroFlex® Orthotic product line was marketed nationally in February of 1999. Today, thousands of patients have benefited from the unique properties of the patented “flex” technology bioengineered into every product. Four years ago, the inventor of this technology, John Kenney, BOCO and Vice President of Product Development and Clinical Services at OCSI thoroughly evaluated each original product design based upon customer input and the clinical outcomes that have been historically experienced with each product. Product improvements were identified and were painstakingly tested to ensure that the properties of each product, which have performed so well, were not changed. Product improvement priority was given to:

1. improving clinical outcomes and product safety, 2. increasing the useful life of each brace, 3. eliminating the need for custom fabrication whenever possible, and 4. facilitating ease of use.

The result of the re-engineering project is the introduction of DynaPro™ Orthotics. Product improvements include a new, patented technology of flex to optimize the abnormal reflex arc therapy provided to patients with spasticity (patent # 7,207,960). Gel pads are incorporated into all elbow and knee products to maximize pressure relief and comfort while providing a Low Load Prolonged Stretch to reverse contractures. All Wrist/Hand/Finger Orthoses have been re-designed to decrease the flex force applied to the joints to ensure the braces do not feed into tone. An extra color coded strap cover is included with every hand brace at no additional charge. The AFO has also been re-engineered to more effectively reverse plantar-flexion contractures and inversion/eversion of the ankle/foot.

OCSI is the ONLY manufacturer of the new and improved DynaPro™ Orthotics.

Continuing Education

John Kenney is one of the developers of the NeuroStretch™ Technique, an alternative to traditional passive stretching techniques for contracture assessment and Range of Motion (ROM) for patients with spasticity. He provides continuing education courses on orthotic bracing to orthotists and therapists and has done so for the past 10 years.

If you are interested in upcoming continuing education courses with Mr. Kenney, please contact OCSI customer service at 800-375-0207.

DynaPro™ Orthotics...The next generation of NeuroFlex® technology

C l i n i c a l P a t h w a y s ©2006 Ongoing Care Solutions

6545 44th Street North, Unit 4007Pinellas Park, Florida 33781

800/375-0207 • 727/526-0707 • Fax 727/525-1424www. OngoingCare.com

Documents

Clinical Pathways - Kustom Kinetics Medical Products · PDF fileThe Clinical Pathways Orthotic Selection Guide ... leverage brace component at the apex of ... and applys a gentle stretch